Clinic

Affiliated Clinical Services

West Bend, WI

49 published cash pricesaffiliatedclinical.com

Cash prices

  1. ADHD/ADD TESTING MATERIALS, REPORT WRITING, SCORING & FORMS INCLUDING TOVA TESTS
    Standard service: ADHD testing materials, scoring and report (incl. TOVA)
    Ask what's included
    $200

    Not paid by insurance. Covers testing materials, report writing, scoring and forms, including TOVA tests.

    Source: affiliatedclinical.com · checked Oct 2026
  2. Standard service: Established patient visit, level 2 (nurse practitioner)
    Code 99212
    Ask what's included
    $95 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  3. Standard service: Established patient visit, level 2 (psychiatrist)
    Code 99212
    Ask what's included
    $145 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  4. Standard service: Established patient visit, level 3 (nurse practitioner)
    Code 99213
    Ask what's included
    $105 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  5. Standard service: Established patient visit, level 3 (psychiatrist)
    Code 99213
    Ask what's included
    $155 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  6. Standard service: Established patient visit, level 4 (nurse practitioner)
    Code 99214
    Ask what's included
    $130 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  7. Standard service: Established patient visit, level 4 (psychiatrist)
    Code 99214
    Ask what's included
    $200 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  8. Standard service: Established patient visit, level 5 (nurse practitioner)
    Code 99215
    Ask what's included
    $190 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  9. Standard service: Established patient visit, level 5 (psychiatrist)
    Code 99215
    Ask what's included
    $250 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  10. Evaluation (90791) - Therapist
    Standard service: Evaluation
    Ask what's included
    $225 per visit

    Specify Therapist Fees: evaluation 90791 at $225 per visit.

    Source: affiliatedclinical.com · checked Oct 2026
  11. Standard service: Family therapy (patient present)
    Code 90847
    Ask what's included
    $200 per session
    Source: affiliatedclinical.com · checked Oct 2026
  12. Family psychotherapy (90847) - Therapist
    Standard service: Family therapy session
    Ask what's included
    $185 per session

    Specify Therapist Fees: family psychotherapy 90847 at $185 per session.

    Source: affiliatedclinical.com · checked Oct 2026
  13. Standard service: Group therapy session
    Code 90853
    Ask what's included
    $130 per session
    Source: affiliatedclinical.com · checked Oct 2026
  14. Standard service: Group therapy session
    Code 90853
    Ask what's included
    $130 per session
    Source: affiliatedclinical.com · checked Oct 2026
  15. Standard service: Individual psychotherapy (30 min), PhD level
    Code 90832
    Ask what's included
    $160 per session
    Source: affiliatedclinical.com · checked Oct 2026
  16. Standard service: Individual psychotherapy (45 min), PhD level
    Code 90834
    Ask what's included
    $190 per session
    Source: affiliatedclinical.com · checked Oct 2026
  17. Standard service: Individual psychotherapy (53+ min)
    Code 90837
    Ask what's included
    $185 per session

    Specify Therapist Fees: $185 per session of 53 minutes or more.

    Source: affiliatedclinical.com · checked Oct 2026
  18. Standard service: Individual psychotherapy (53+ min), PhD level
    Code 90837
    Ask what's included
    $200 per session
    Source: affiliatedclinical.com · checked Oct 2026
  19. Standard service: Individual therapy session (30 min)
    Code 90832
    Ask what's included
    $145 per session

    Specify Therapist Fees: $145 per session of 16–37 minutes.

    Source: affiliatedclinical.com · checked Oct 2026
  20. Standard service: Individual therapy session (45 min)
    Code 90834
    Ask what's included
    $175 per session

    Specify Therapist Fees: $175 per session of 38–52 minutes.

    Source: affiliatedclinical.com · checked Oct 2026
  21. Intensive outpatient program (IOP 906) - Therapist
    Standard service: Intensive outpatient program (IOP)
    Ask what's included
    $250 per session

    The page does not specify the duration or billing unit for this fee.

    Source: affiliatedclinical.com · checked Oct 2026
  22. Standard service: Interactive complexity add-on
    Code 90785
    Ask what's includedAddon
    $20 per session

    Add-on fee.

    Source: affiliatedclinical.com · checked Oct 2026
  23. Standard service: Interactive complexity add-on
    Code 90785
    Ask what's includedAddon
    $25 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  24. Standard service: Interactive complexity add-on
    Code 90785
    Ask what's includedAddon
    $25 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  25. Standard service: Interactive complexity add-on
    Code 90785
    Ask what's includedAddon
    $30 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  26. Standard service: Neuropsychological testing evaluation, each additional hour
    Code 96133
    Ask what's includedAddon
    $200 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  27. Standard service: Neuropsychological testing evaluation, each additional hour
    Code 96133
    Ask what's included
    $200 per unit

    Additional-hour fee; the first hour is billed separately at $260.

    Source: affiliatedclinical.com · checked Oct 2026
  28. Standard service: Neuropsychological testing evaluation, first hour
    Code 96132
    Ask what's included
    $260 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  29. Standard service: Neuropsychological testing evaluation, first hour
    Code 96132
    Ask what's included
    $260 per unit

    Covers the first hour. Each additional hour costs $200.

    Source: affiliatedclinical.com · checked Oct 2026
  30. Standard service: Psych/neuropsych test scoring (each add'l 30 min)
    Code 96137
    Ask what's includedAddon
    $100 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  31. Psychological or neuropsychological test scoring, each additional 30 minutes (96137) - PhD Level
    Standard service: Psych/neuropsych test scoring (each add'l 30 min)
    Ask what's included
    $100 per unit

    Additional 30-minute fee; the first 30 minutes are billed separately at $100.

    Source: affiliatedclinical.com · checked Oct 2026
  32. Standard service: Psych/neuropsych test scoring (first 30 min)
    Code 96136
    Ask what's included
    $100 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  33. Psychological or neuropsychological test scoring, first 30 minutes (96136) - PhD Level
    Standard service: Psych/neuropsych test scoring (first 30 min)
    Ask what's included
    $100 per unit

    Covers the first 30 minutes. Each additional 30 minutes costs $100.

    Source: affiliatedclinical.com · checked Oct 2026
  34. Standard service: Psychiatric diagnostic evaluation with medical services (nurse practitioner)
    Code 90792
    Ask what's included
    $300 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  35. Standard service: Psychiatric diagnostic evaluation with medical services (psychiatrist)
    Code 90792
    Ask what's included
    $380 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  36. Standard service: Psychiatric diagnostic evaluation, psychologist
    Code 90791
    Ask what's included
    $260 per visit
    Source: affiliatedclinical.com · checked Oct 2026
  37. Standard service: Psychological testing evaluation (each add'l hour)
    Code 96131
    Ask what's includedAddon
    $200 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  38. Standard service: Psychological testing evaluation (each add'l hour)
    Code 96131
    Ask what's included
    $200 per unit

    Additional-hour fee; the first hour is billed separately at $260.

    Source: affiliatedclinical.com · checked Oct 2026
  39. Standard service: Psychological testing evaluation (first hour)
    Code 96130
    Ask what's included
    $260 per unit
    Source: affiliatedclinical.com · checked Oct 2026
  40. Standard service: Psychotherapy add-on with E/M (30 min, APRN)
    Code 90833
    Ask what's includedAddon
    $100 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  41. Standard service: Psychotherapy add-on with E/M (30 min, psychiatrist)
    Code 90833
    Ask what's includedAddon
    $160 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  42. Standard service: Psychotherapy add-on with E/M (45 min, APRN)
    Code 90836
    Ask what's includedAddon
    $130 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  43. Standard service: Psychotherapy add-on with E/M (45 min, psychiatrist)
    Code 90836
    Ask what's includedAddon
    $190 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  44. Standard service: Psychotherapy add-on with E/M (60 min, APRN)
    Code 90838
    Ask what's includedAddon
    $165 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  45. Standard service: Psychotherapy add-on with E/M (60 min, psychiatrist)
    Code 90838
    Ask what's includedAddon
    $220 per session

    Add-on psychotherapy fee; the primary service fee is additional.

    Source: affiliatedclinical.com · checked Oct 2026
  46. SPRAVATO OBSERVATION 2 HOURS 99215+4UNITS 99417 - Psychiatrists
    Standard service: Spravato monitoring visit (2 hours)
    Ask what's included
    $870 per session
    Source: affiliatedclinical.com · checked Oct 2026
  47. Standard service: TMS initial mapping and first treatment
    Code 90867
    Ask what's included
    $525 per session
    Source: affiliatedclinical.com · checked Oct 2026
  48. Standard service: TMS motor threshold retest
    Code 90869
    Ask what's included
    $550 per session
    Source: affiliatedclinical.com · checked Oct 2026
  49. TMS subsequent treatment delivery - Psychiatrists
    Standard service: TMS session (subsequent) with psychotherapy
    Ask what's included
    $410 per session
    Source: affiliatedclinical.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.